CORNERSTONE HEALING CENTER (NPI# 1780203794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780203794 |
Entity Type | Organization |
Organization Name | CORNERSTONE HEALING CENTER |
Practice Address |
7655 E Redfield Rd Ste 4 Scottsdale AZ 85260-6907 |
Practice Telephone | 8004801781 |
Practice Fax Number | 6123260569 |
Mailing Telephone | 8004801781 |
Mailing Fax Number | 6123260569 |
Enumeration Date | 2020-04-09 |
Last Update Date | 2020-04-09 |
Authorized Official Name | ESTIL WALLACE (FOUNDER/CEO) |
Authorized Official Telephone | 6025446832 |
Is Organization Subpart | Y |
Parent Organization Name | CORNERSTONE HEALING CENTER LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
7655 E REDFIELD RD STE 4 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85260-6907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154823680 | Cornerstone Healing Center, LLC | Counselor | 7655 E Redfield Rd Ste 4, Scottsdale, AZ 85260-6907 | 2018-02-28 |
1891326880 | Cassandra Elaina Sankey | Occupational Therapist | 7655 E Redfield Rd Ste 4, Scottsdale, AZ 85260-6907 | 2020-01-29 |
1477106250 | Rebecca Lauren Salsman Knowles | Occupational Therapist | 7655 E Redfield Rd Ste 4, Scottsdale, AZ 85260-6907 | 2019-07-19 |
1720562184 | Julie Anne Vaughan | Counselor | 7655 E Redfield Rd Ste 4, Scottsdale, AZ 85260-6907 | 2018-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
Find all providers in zip 85260 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194368852 | Relieve Medical Detox | Family Medicine | 7281 E Earll Dr Ste A4, Scottsdale, AZ 85251-7213 | 2019-10-24 |
1851878508 | Rapr LLC | Family Medicine | 10632 N Scottsdale Rd Unit 482, Scottsdale, AZ 85254-6164 | 2018-07-25 |
1730699281 | Absolute Rehabilitation and Pain Medicine Pllc | Family Medicine | 7320 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7453 | 2017-10-10 |
1285982660 | Integrated Treatment Services, LLC | Family Medicine | 14362 N Frank Lloyd Wright Blvd, Suite B111, Scottsdale, AZ 85260-8846 | 2012-08-16 |
1184932782 | Steven J. Locnikar | Family Medicine | 11390 E Via Linda, 103, Scottsdale, AZ 85259-4075 | 2010-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
1619430691 | Freedom Medical Care | Family Medicine | 5151 E Broadway Rd Ste 105, Mesa, AZ 85206-1346 | 2019-04-08 |
1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
1003269697 | Perla Quinones | Family Medicine | 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140-7334 | 2016-07-19 |
1245468271 | Kenneth M Levine, D.o. Ltd | Family Medicine | 2121 S Mill Ave, 114, Tempe, AZ 85282-2138 | 2009-06-29 |
1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
1740256577 | Bernice Roberts | Family Medicine | 170 N Sierra Vista Dr, Tucson, AZ 85719-3841 | 2006-02-23 |
Find all providers with the same taxonomy |
City | SCOTTSDALE |
Zip Code | 85260 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.